MedPath

PRospective Observation of Aortic reGuRgitation aftEr TAVI and progreSS Over Time: PROGRESS PVL Registry

Completed
Conditions
Aortic Stenosis
Registration Number
NCT02987894
Lead Sponsor
Symetis SA
Brief Summary

The purpose of this post-market registry is to collect and monitor ongoing safety and performance clinical data of the ACURATE neo™ Aortic Bioprosthesis, and the ACURATE TF™ Transferral Delivery System, when used as per IFU.

Detailed Description

The primary objective of this post-market registry is to further evaluate the safety and performance of the ACURATE neo™ Aortic Bioprosthesis and the ACURATE TF™ Transferral Delivery System in 500 consented patients with severe aortic stenosis and treated according to the instructions for use (IFU).

Examinations to evaluate the aortic valve regurgitation performed as standard of care in patients undergoing transcatheter aortic valve replacement will be analyzed by an external Core Laboratory. These examinations are limited to echocardiography and/or contrast aortography assessments.

The secondary objective is to collect adverse events and evaluate them according to the VARC-2 consensus document.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
500
Inclusion Criteria
  1. Patient is included in the registry if eligible for transcatheter treatment of severe aortic stenosis with the ACURATE neo™ Aortic Bioprosthesis and ACURATE TF™ Transfemoral Delivery System as per the Instructions for Use (Patients which are included but treated outside of the approved indication will be followed for safety reasons).
  2. Patient is willing to participate in the study, provides signed Informed Consent/Data Authorization Form and authorizes the sharing of data in the registry. Patient agrees that anonymized imaging data will be sent to and analyzed by an external Core Laboratory.
  3. The treating physician should ensure the subject will return for all required post procedure follow-up visits.
Exclusion Criteria
  1. Patients are excluded from the registry if they are not eligible for transcatheter treatment of severe aortic stenosis with the ACURATE neo™ Aortic Bioprosthesis and ACURATE TF™ Transfemoral Delivery System as per the Instructions For Use.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in total aortic regurgitation over time.post-implantation on index procedure date, 7- days post-index procedure / discharge (whichever occurs first), 30 days post-index procedure and 12 months post-index procedure

total aortic regurgitation post procedure, at 7 days or discharge, 30 days and 12 months follow-up

Secondary Outcome Measures
NameTimeMethod
Clinical events as defined per VARC-2 consensus document (VARC-2)Procedure, 7 days post-index procedure / discharge (whichever occurs first), 30 days post-index procedure and 12 months post-index procedure

Clinical events as defined per VARC-2 consensus document

Incidence of all-cause mortality30 days post-index procedure

Incidence of all-cause mortality at 30 days post index procedure

Functional improvement7 days post-index procedure or discharge (whichever occurs first), 30 days post-index procedure and 12 months post-index procedure

Functional improvement from baseline as per NYHA Functional Classification

Hemodynamic function improvement from baseline7 days post-index procedure or discharge (whichever occurs first), 30 days post-index procedure and 12 months post-index procedure

Improvement from baseline of the hemodynamic function: effective orifice area and mean transprosthetic gradient

Number of patients with adverse events assessed by VARC-2 Composite Safety30 days post-index procedure

VARC-2 Composite Safety at 30 days defined as:

* All-cause mortality

* All stroke (disabling and non-disabling)

* Life-threatening bleeding

* Acute kidney injury - Stage 2 or 3 (including renal replacement therapy)

* Coronary artery obstruction requiring intervention

* Major vascular complication

* Valve-related dysfunction requiring repeat procedure (BAV, TAVI or SAVI)

Number of patients with procedural success according to VARC II criteriaat index- Procedure

Procedural success is defined as

Absence of intra-procedure mortality and complications arising during implantation of the prosthetic valve such as:

* inability to properly seat the valve in the annulus

* need for more than one implanted aortic bioprosthesis (valve-in-valve or ectopic deployment)

* surgical aortic valve replacement required to correct a severe aortic regurgitation or procedure complication The procedure can be considered as success despite the presence of residual aortic regurgitation which may be due to the anatomic configuration of the annulus or a calcific valvular annulus.

Number of patients with device success7-days post-index procedure or discharge (whichever occurs first)

Device success is defined as:

* Absence of intra-procedure mortality (procedure to 24H) AND,

* Correct positioning (placement in the annulus with no impairment of aortic bioprosthesis function) of a single prosthetic heart valve into the proper anatomical location AND,

* Intended performance of the prosthetic heart valve:

* No prosthesis-patient mismatch (EAOi \>0.85 cm2/m2) AND,

* Mean aortic valve gradient \<20mmHg or peak velocity \< 3 m/s AND,

* No moderate or severe prosthetic valve regurgitation.

In evaluating echo parameters, values at 7D/Discharge (whichever occurs first) will be used for each of the echo parameters above. If any of echo parameters is missing at 7-days or discharge, post-procedure data may be used for the missing values. If device success or failure cannot be determined due to missing of parameters listed above or un-evaluable echocardiography assessment, device success will be considered not obtainable.

Valve related dysfunction7 days post-index procedure or discharge (whichever occurs first), 30 days post-index procedure and 12 months post-index procedure

Valve related dysfunction defined as: mean aortic valve gradient ≥ 20mmHg, EOA ≤0.9-1.1 cm2, and/or DVI\< 0.35, and/or moderate or severe prosthetic valve regurgitation (See VARC-2 and Figure 4 from VARC manuscript)

Trial Locations

Locations (23)

Helios Klinik Fur Herzzchirurgie Karlsruhe

🇩🇪

Karlsruhe, Germany

Goethe Universität

🇩🇪

Frankfurt, Germany

University Hospital NHS

🇬🇧

Leicester, United Kingdom

Fondazione Toscana G.Monasterio, Ospedale del Cuore G.Pasquinucci

🇮🇹

Massa, Italy

St Johannes Hospital

🇩🇪

Dortmund, Germany

Universitätsklinikum Halle

🇩🇪

Halle, Germany

Universitätsklinikum

🇩🇪

Köln, Germany

Immanuel Hospital Bernau- Herzzentrum Brandenburg

🇩🇪

Bernau, Germany

Klinikum Augsburg

🇩🇪

Augsburg, Germany

Kerkhoff Kilnik

🇩🇪

Bad Nauheim, Germany

Universitätsklinikum Jena

🇩🇪

Jena, Germany

Städisches Klinikum Karlsruhe GmbH

🇩🇪

Karlsruhe, Germany

Ospedale Civile di Legnano

🇮🇹

Legnano, Italy

Sana-Herzzentrum Cottbus GmbH

🇩🇪

Cottbus, Germany

Universitätklinikum Giessen

🇩🇪

Giessen, Germany

Saint Paul's Hospital, Porvidence Health Care Institute

🇨🇦

Vancouver, Canada

Zentralklinik Bad Berka

🇩🇪

Bad Berka, Germany

Sana Herzzentrum Leipzig

🇩🇪

Leipzig, Germany

Städische Kliniken

🇩🇪

Neuss, Germany

Oford University Hospital

🇬🇧

Oxford, United Kingdom

London Health Sciences Centre, University Hospital

🇨🇦

London, Ontario, Canada

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Universitätsklinikum Tübingen

🇩🇪

Tübingen, Germany

© Copyright 2025. All Rights Reserved by MedPath